Active NPI
Renee Jodian Smith, NP
- Family Nurse Practitioner
- Marietta, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- RN236347
- Practice address
- 598 Nancy St NW Ste 100
Marietta, GA 30060-1375 - Phone
- (770) 742-6333
- Fax
- (678) 310-1541
- NPI assigned
- Dec 2, 2019
- Last updated
- Mar 16, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | RN236347 | GA | Primary |
Addresses
Primary practice location
598 Nancy St NW Ste 100
Marietta, GA 30060-1375
Mailing address
3575 Mill Creek Dr SW
Smyrna, GA 30082-2925
Other practice location 1
1155 Concord Rd SE Ste 120
Smyrna, GA 30080-4255
Phone (470) 649-3890
Other practice location 2
2340 Perimeter Park Dr Ste 100
Atlanta, GA 30341-1318
Phone (770) 847-8900
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Innovative Infusions, LLC | Nurse Practitioner | Current | Accepting new patients |
| Innovative Infusions, LLC | Nurse Practitioner | Current | Accepting new patients |
| Pure Infusion of Georgia LLC | Current | Accepting new patients |
Locations
2340 Perimeter Park Dr
Ste 100
Atlanta, GA 30341
Phone (770) 847-8900
4745 Ashford Dunwoody Rd
Ste D
Atlanta, GA 30338
Phone (678) 254-0945
114 E Trinity Pl
Decatur, GA 30030
Phone (470) 235-2832
598 Nancy St NW
Ste 100
Marietta, GA 30060
Phone (770) 742-6333
1155 Concord Rd SE
Ste 120
Smyrna, GA 30080
Phone (470) 649-3890
3033 W President George Bush Hwy
Ste 100
Plano, TX 75075
Phone (877) 365-5566
4179 S Riverboat Rd
Ste 220
Taylorsville, UT 84123
Phone (801) 590-9267
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Paragon Infusion Centers
- Infusion Therapy Clinic/Center
- Dallas, TX
- NPI 1811299944
GA, Nurse Practitioner
-
- Multi-Specialty Clinic/Center
- Atlanta, GA
- NPI 1982586343
-
dba Paragon Infusion Centers
- Infusion Therapy Clinic/Center
- Indianapolis, IN
- NPI 1093512246
Nurse Practitioner
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1575244800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678924800000",
"number": "1407493026",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3575 MILL CREEK DR SW",
"city": "SMYRNA",
"state": "GA",
"postal_code": "300822925"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "598 NANCY ST NW STE 100",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300601375",
"telephone_number": "770-742-6333",
"fax_number": "678-310-1541"
}
],
"practiceLocations": [
{
"address_1": "1155 Concord Rd SE Ste 120",
"address_purpose": "LOCATION",
"city": "Smyrna",
"state": "GA",
"postal_code": "300804255",
"country_code": "US",
"telephone_number": "470-649-3890",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2340 Perimeter Park Dr Ste 100",
"address_purpose": "LOCATION",
"city": "Atlanta",
"state": "GA",
"postal_code": "303411318",
"country_code": "US",
"telephone_number": "770-847-8900",
"fax_number": "678-802-7373",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SMITH",
"first_name": "RENEE",
"middle_name": "JODIAN",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-12-02",
"last_updated": "2023-03-16",
"certification_date": "2023-03-16",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "GA",
"license": "RN236347",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Marietta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.